| NPI | 1548645047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP128615) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A183377) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 002491186) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP128615) | |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2025-11-07 |